Individual
DR. NICHOLAS GEORGE DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
161 MAIN ST, FITCHBURG, MA 01420-4329
(978) 551-3735
Mailing address
50 PARKER RD, DRACUT, MA 01826-4244
(978) 551-3735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
240679
MA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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